Active NPI
Paige Lorraine Marshall, RADT
- Specialist
- Soquel, CA
National Provider Identifier
1265950265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- L9864
- Practice address
- 2901 Park Ave Ste A10
Soquel, CA 95073-2831 - Phone
- (831) 316-3052
- NPI assigned
- Aug 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | L9864 | CA | Primary |
Addresses
Primary practice location
2901 Park Ave Ste A10
Soquel, CA 95073-2831
Mailing address
12235 Volver Ave
Felton, CA 95018-8947
Phone (831) 325-5549
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L9864 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1265950265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12235 VOLVER AVE",
"city": "FELTON",
"state": "CA",
"postal_code": "950188947",
"telephone_number": "831-325-5549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 PARK AVE STE A10",
"city": "SOQUEL",
"state": "CA",
"postal_code": "950732831",
"telephone_number": "831-316-3052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "PAIGE",
"middle_name": "LORRAINE",
"credential": "RADT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "L9864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Soquel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.